Infertility is the failure to conceive (regardless of cause) after 1 year of unprotected intercourse. Infertility affects approximately 10-15% of reproductive-aged couples. As a woman’s age increases, the incidence of infertility also increases, with the chance of getting pregnant each month decreasing from 20% to 5% from age 30 to 40.
CAUSES AND RISK FACTORS
Causes of infertility are myriad, and can attributed to the male (problems with sperm) or the female (problems with ovulation, anatomical issues) and sometimes can’t be identified (about 10% of couples).
Risk factors that could affect male or female:
- Environmental (exposure to radiation, heavy metals, pesticides)
- Smoking tobacco or marijuana
- Using drugs
- Chronic alcoholism
- Excessive exercise, inadequate diet, and not being at a healthy weight (overweight or underweight)
DIAGNOSIS AND TESTING
Diagnostic testing is only made after a year of inability to conceive, unless the female is over 35 years old, there is a known history of a male factor infertility, or, in the female, an anatomical abnormality or history of abnormal menstrual bleeding, endometriosis, pelvic inflammatory disease or surgery, or a known exposure to DES.
Couples who are unable to conceive despite regular intercourse for over a year who seek treatment for infertility undergo thorough counseling and examination to determine the cause and develop a treatment plan. Any conditions that could affect the health of a pregnancy are evaluated. Genetic testing could be requested. Females have blood tests done to determine hormone levels both before and during treatment. For the males, sperm is analyzed.
There are many potential diagnoses that could impact a couple’s ability to conceive, discussion here will relate to drug related treatments.
Click here for more information on medical conditions that affect fertility
Chronic cervicitis may be treated with antibiotics.
Drugs used in the treatment of infertility are aimed at inducing ovulation or
- Follicle stimulating hormone (Bravelle, Follistim, Gonal-F)
- Luteinizing hormone (Luveris)
- Human chorionic gonadotropin (APL, Pregnyl, Novarel, Ovidrel)
- Human menopausal gonadotropin (Repronex, Menopur)
- Dopamine agonists (bromocriptine, cabergoline)
- Gonadotropin releasing hormone (Factrel, Lutrepulse)
- Gonadotropin releasing hormone agonists (Lupron/Lupron Depot, Synarel, Zoladex)
- Gonadotropin releasing hormone antagonists (Ganirelix, Antagon, Cetrotide)
- Aromatase inhibitors (Femara, Arimidex)
More about drugs used in infertility treatment
LINKS AND SUPPORT:
MEDICATIONS DISPENSED THROUGH FOSRX/FAST:
Drug information for this condition is made available by Factor One Source FAST Pharmacy upon request by emailing firstname.lastname@example.org directly, or by submitting an inquiry through our Contact Page.
- 17 Jun 2015
- FOSRX/FAST Services